Nursing Elites

1. The classic definition of public health is:

• A. It is a state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity.
• B. It is the health of individuals and communities that are, to a large extent, affected by a combination of many factors.
• C. It refers to the overall health of individuals, families, and communities being influenced by various factors in the ecosystem.
• D. It is the science and art of preventing disease, prolonging life, and promoting health through organized community efforts for sanitation, disease control, and health education.

Correct answer: D

Rationale: The classic definition of public health is focused on the science and art of preventing disease, prolonging life, and promoting health through organized community efforts. This definition emphasizes the importance of community-based interventions to improve public health outcomes such as sanitation, disease control, and health education. Public health aims to address the health needs of populations rather than just individuals, highlighting the collective approach to enhancing the well-being of communities.

2. Which of the following is an example of tertiary prevention?

• A. Vaccination
• B. Screening for cancer
• C. Physical therapy
• D. Health education

Correct answer: C

Rationale: Tertiary prevention aims to manage and improve the quality of life of individuals already diagnosed with a disease. Physical therapy, which focuses on rehabilitation and restoring function after an injury or illness, is a prime example of tertiary prevention. It helps individuals regain mobility and independence, thereby reducing the impact of the disease and preventing further complications.

3. Which action represents a primary prevention strategy?

• A. Educating children on the importance of handwashing
• B. Administering vaccines to prevent disease
• C. Screening for early signs of disease
• D. Providing treatment for acute illnesses

Correct answer: B

Rationale: Administering vaccines is a primary prevention strategy because it aims to prevent diseases before they occur by providing immunity against specific pathogens. Educating children on handwashing is important for preventing infections but falls under health promotion rather than primary prevention. Screening for early signs of disease and providing treatment for acute illnesses are considered secondary and tertiary prevention strategies, respectively, as they aim to detect and treat diseases that have already developed to prevent further complications.

4. A nurse who works on the surgical unit at the local hospital was asked by the home health unit to make a home visit to a patient who had been discharged the previous day and to give follow-up care (for overload pay). What kind of nursing would this nurse be doing?

• A. Acute care hospital nursing
• B. Community-based nursing
• C. Community health nursing
• D. Public health nursing

Correct answer: B

Rationale: The nurse is providing care to a patient at home, which falls under the realm of community-based nursing. Community-based nursing involves providing healthcare services outside of traditional healthcare facilities, such as in patients' homes or community settings, to promote health and wellness and prevent hospital readmissions.

5. When caring for a first-time mom and baby, the community RN would focus on which of the following as the first priority when developing appropriate interventions?

• A. Education
• B. Safety
• C. Policy-making
• D. Vaccination

Correct answer: B

Rationale: The primary priority when caring for a first-time mom and baby is ensuring safety. Safety encompasses various aspects such as preventing accidents, promoting a safe environment for both the mother and baby, and reducing risks of harm. By prioritizing safety, the community RN can address immediate concerns and create a foundation for the well-being of the mother and baby.

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